Speaking to MPs following publication of the Dash review, which the Government has said it will implement in full, Streeting said a ‘labyrinth of healthcare regulation has been left to spiral out of control'.
Streeting said: ‘The recommendations set out in Dr Penny Dash's review will help us streamline the patient safety landscape - meaning fewer checkers and more doers - and put patient experience at the heart of the NHS.
‘Through our 10-Year Health Plan we will bring safety into the 21st century, using tech and AI to make checks more rigorous and efficient and ensure we never turn a blind eye to failure.'
Streeting said the review of the patient safety landscape had found too much focus on inputs and structures, rather than outcomes for patients and limited strategic thinking on improving quality of care.
The review states that so many organisations carrying out reviews and investigations, had led to an overwhelming number of recommendations, causing confusion for patients and staff alike with patient experience not given the attention it deserves.
The review makes nine recommendations:
- a refreshed strategy for improving quality of care, which will be delivered by revamping and revitalising the role of the National Quality Board
- the Care Quality Commission should continue to rebuild with a clear remit and responsibility and overhaul its registration and inspection processes to ensure they are ‘sector specific'
- the Health Services Safety Investigations Body should continue as a centre of excellence for investigations, but as a discrete branch within the Care Quality Commission
- hosting of Patient Safety Commissioner should transfer to the Medicines and Healthcare products Regulatory Agency (MHRA) to strengthen links between the patient voice in medicines safety and the MHRA's work to capture adverse events more effectively. The Patient Safety Commissioner's work on wider patient safety should transfer into a new directorate of patient experience in DHSC
- local Healthwatch and engagement functions of ICBs (for healthcare) and local authorities (for social care) should be brought together to ensure patient and community input into the planning and design of services, and the strategic functions of Healthwatch England should be transferred into the new patient experience directorate in DHSC
- staff voice functions should be strengthened, with the responsibilities of the National Guardian for Freedom to Speak Up incorporated into the new DHSC structure and providers
- responsibility for and accountability of commissioners and providers to deliver and assure high quality care should be reinforced
- technology, data and analytics should play a much more significant role in supporting the quality of health and social care
- there should be an evidence-based national strategy for quality in social care.
Daniel Elkeles, chief executive, NHS Providers, said: ‘The system has been too complex for too long. This review is an important step in simplifying and streamlining how patient care is regulated without ever compromising safety.'